Cooke Medical, LLC

NPI #1326330853 in Tinley Park, Illinois

Provider Information

NPI Number: 1326330853
Entity Type: Organization
Organization Name: Cooke Medical, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 16750 80TH AVE
Address 2: STE A
City: Tinley Park
State: Illinois
ZIP Code: 60477-3173
Phone: (877) 815-6668

Authorized Official

Name: GERALD LYNZIE COOKE, M.D.
Title: ATTENDING PHYSICIAN
Phone: (877) 815-6668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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